July 20, 2005 and October 19, 2005

Transcription

1 NEWSLETTER Monana Sae Board of Nursing VOLUME 16 NUMBER 1 Helena, Monana Spring / Summer 2005 The mission of he Board of Nursing is o regulae nursing pracice and educaion for he purpose of safeguarding he public healh, safey and welfare. BOARD OF NURSING MEMBERS Karen Pollingon, RN, Havre Jeanine Thomas, LPN, Ronan Lorena Erickson, Public Member, Corvallis Kahy Hayden, LPN, Missoula Cynhia Pike, RN, Billings Kim Powell, APRN, Missoula Susan Raph, RN, Grea Falls Seven Rice, Public Member, Miles Ciy Vacan LPN posiion DEPARTMENT STAFF Lisa Addingon, Bureau Chief Marilyn Clark-Kelly, Uni Supervisor Sandra (Sandi) Dickenson, Execuive Direcor Melissa Mixan, RN, Nurse Pracice Manager Ania Verbanac (Andy Carer), Program Manager Elizabeh (Liz) Carney, APRN Licensing Specialis Jennifer Billman, LPN/RN Licensing Technician Becky McTaggar LPN/RN Licensing Technician Joan Bowers, Compliance Specialis Ron Burns, Invesigaor Lorraine Schneider, Board Counsel Lori Ballinger, Deparmen Counsel HOW TO REACH US BOARD OF NURSING 301 Souh Park, 4h Floor P.O. Box Helena, MT Phone: (406) Fax: (406) dlibsdnur@m.gov Board Meeing Daes July 20, 2005 and Ocober 19, 2005 M os Board of Nursing Meeings are held in he fourh floor conference room of he Park Avenue Building, 301 Souh Park Avenue in Helena. The Board and Commiee meeings are open o he public. Agendas are posed a under he drop down menu Minues and Agendas. Selec Full Board or one of he Commiees o reach he Agenda. You can search pas (approved) minues as well. Please call he Board office if you need assisance. Did you know? Board Members are voluneers and ha each member paricipaes in a leas one BON Commiee as well as serving on a special ineres ask force? Board Members are appoined by he governor o serve a 4 year erm and can fill only one consecuive erm for a oal of eigh years? APRNs: Did you know ha 15 chars or 5% of all chars handled by he advanced pracice nurse, whichever is less, mus be reviewed quarerly according o Rule (2)(a)?

2 Recen Board of Nursing Acions January 2005 Regarding Scope of Pracice Issues: Deermined i is wihin he APRN wih prescripive auhoriy scope of pracice o prescribe and insiue fluoride varnish as par of a prevenaive public healh plan, as long as he APRN has he necessary knowledge, skills and abiliy and uilizes an appropriae referral plan Deermined ha i is no wihin he scope of pracice of he LPN o hang an insulin infusion ha is modified and requiring assessmen Tabled he issue of he use of lidocaine specific o cosmeic aooing unil furher informaion is obained Deermined he operaion of x-ray or fluoroscopy equipmen is no wihin he scope of pracice for nursing unless dual licensure is held. (limied permi x-ray licensure) (read gues ediorial o learn more) Deermined ha i is no wihin he LPN Scope of Pracice o hang anibioic on a cenral line ha is no in coninuous flow Repored ha he use of Keamine by he RN in he ER for IV conscious sedaion is no opposed by he Emergency Room Associaion or he Criical Care Nurses Associaion Deermined ha i is wihin he scope of pracice for an RN wih a physician or appropriae APRN order, and wih proper knowledge, skills and abiliy o adminiser agens currenly recognized for he purpose of conrolled sedaion for refracory suffering a end of life, as disinguished from he purposes of conscious sedaion and wih he excepion of propofol Declined he reques for a Declaraory Ruling on wheher i is wihin he scope of pracice of an RN o perform a percuaneous, non-surgical, radial arery caheerizaion. The Pracice and Credenial Commiee was advised o review available evidence and recommend o he Full Board wheher i is wihin he scope of pracice of an RN in Monana Deermined ha ARPNs also hold an RN license and may work wihin he scope of RN pracice. When he APRN and RN specialy cerificaions are no congruen he licensee mus exercise judicious cauion so as no o exceed he RN scope of pracice. Deermined ha i is wihin he scope of pracice of an LPN o assis paiens in he use of a Hand held compuerized spiromeer wih he proper raining Deermined ha self adminisraion of sudens wih parenal consen is wihin he parameers of Rule Confirmed ha digial recal simulaion is a nursing funcion Employer mandaed 12 hour shifs are no wihin he purview of he BON and hey need o be addressed wih he employer Deermined ha he supervision of an LPN for clinical pracice and for non-clinical duies may be differen Regarding Licensure Issues: Declined he reques for CNS Palliaive Care APRN licensure due o he narrow scope of pracice and educaional preparaion ha does no mee crieria for esing by board approved cerificaion agencies Declined he reques for Orhopaedic Nursing APRN licensure due o he narrow scope of pracice and educaional preparaion ha does no mee crieria for esing by board approved cerificaion agencies Rule , 403 & 404 adoped. Addresses licensure by examinaion for pracical and professional nurses

3 Regarding Educaional Issues: Approved plans of sudy for five applicans who have asked o reake he NCLEX exam Approved faculy qualificaion for Lauri Jackson, Sacey Ziegler, and Elaine Mary Becker a MSU Bozeman Approved faculy qualificaion for Maureen Henehan, Terry Ann Surm, Carolyn Svingen, Elisabeh Lincoln, and Tina Sewar Toner a MSU Norhern Approved faculy qualificaion for Cheryl Harkin a U of M COT Missoula Direced ha ou of sae nursing programs be informed abou MT BON Rules regarding he educaion, including clinicals, of nursing sudens wihin sae boundaries Direced he Educaion Commiee o sudy he process of sie surveys Direced he Execuive Direcor o conac ou-of-sae nursing programs idenified hrough a recen hospial survey, wih informaion abou Monana rules regarding approval and requiremens for nursing educaion. Regarding Disciplinary Issues: Reinsaed wo licensee and removed he probaion from one licensee : Professional conduc for nurses was Noiced for Hearing Sen one Cease and Desis Order o a person pracicing nursing wihou a license. April 2005 Regarding Scope of Pracice Issues: Deermined he care or mainenance of an inrahecal or epidural infusion caheer is no wihin he Scope of Pracice of an LPN. Deermined i is wihin he Scope of Pracice of an LPN o draw venous blood in any seing. Deermined he Board canno ake acion on he Inersae Compac issue; i requires Legislaive acion. The issue will be reviewed and sudied before he nex Legislaive Session. Deermined ha he December 1996 ruling auhorizes he use of a syringe or pump o adminiser an epidural bolus by an RN wih requisie skills, knowledge, raining and abiliy. Deermined i is wihin he Scope of Pracice of an RN wih he raining, skills, knowledge and abiliy o perform radial arerial line inserion wihou cu-down under provider orders. Regarding Educaional Issues: Helena & Missoula Colleges of Technology received iniial approval for heir LPN o RN programs. Regarding Legislaive Issues: A reminder was pu forh ha Board Members may esify for any Legislaive Bill as an individual ciizen, bu may no esify on behalf of he Board or as a member of a Board wihou prior approval from he Governor. BON Members convened periodically in public sessions o closely follow he progress of: HB 182 (Esablished he qualificaions/hiring of personnel by he deparmen o perform adminisraive, legal, and clerical funcions for he boards); HB 203 (Deermined one BON member mus be an APRN and one mus be engaged in nursing pracice in a rural healh care faciliy); LC1638 (Defeaed bill o allow EMTs o provide care in hospial EDs); LC0861 (Defeaed bill o auhorize EMTs o carry auo injecors for general public use). For specific informaion abou BON acions or meeing minues, please conac he Board of Nursing office a or check he BON websie

4 Pracice and Credenials Commiee Repor: The BON members of his sanding commiee are Karen Pollingon, RN, Cynhia Pike, RN, and Lorena Erickson, Public Member. During he firs quarer meeing, he members voed o Review and updae LPN Rules as one of heir 2005 objecives. During he second quarer he LPN Rules Task Force was convened. Task Force Members include: Cheryll Al, RN, Danee Melvin, RN, Sharon Dschaak, LPN, Ellen Wirz, RN Jean Forseh, RN, Jeanine Thomas, LPN Jill Deppel, RN, Karen Pollingon, RN, Kahleen Wankel, RN, Kahy Hayden, LPN, Margare Wafse, RN, Susan Raph, RN, and Vickie Badgley LPN. Two iems of paricular ineres will be reviewed for applicaion wihin LPN Scope of Pracice: (1) he role of he LPN working wih cenral lines no on coninuous flow and (2) defining supervision of LPNs in pracice and non-clinical duies. Your license is imporan! There will be no waivers for lae fees for any reason, so ge your forms filled in correcly and early! Board of Nursing Commiee Repors voed o coninue working on he 2004 objecives in During he second quarer he Medicaion Aid Task Force was re-convened o address he sae wide esing process, applicaion process for candidaes and he program approval process for he involved faciliies. Task Force Members include: Oralei M. Hoffman, RN, Tanya Douglas, LPN, Rose Hughes (Monana Healh Care Associaion), Sherri Maharg, Adminisraor, Judy Annin, RN, Kahy Ausfjord, RN, Lori Henderson, Adminisraor, Gayle Cochran (pharmacis), Kay Jennings (assised living), Kahy Wankel, RN, Joyce Cleavenger, RN, Andrea Sodmeiser, LPN, Sylvia Gollick, RN, Ruh Burleigh, RN, Rose Hogendam (educaor), Casey Blumenhal (Monana Hospial Associaion), Linda Henderson (Monana Nurses Associaion), Susan Raph, RN, Kahy Hayden, LPN, Karen Pollingon, RN and Lorena Erickson, public member. The panel mees frequenly o review successful NCLEX candidaes and applicans requesing endorsemen. During he second quarer he commiee and deparmen saff were asked wih review of he applicaion process for graduaes of foreign nursing programs. Nursing programs wihin he USA undergo a rigorous approval process and heir faculy are heavily screened for qualificaions. The issue of foreign educaed nursing sudens has achieved naionwide aenion because he applicaion process requesing licensure varies sae-osae. This makes i relaively easy o become licensed in some saes and very difficul in ohers. Monana had hundreds of foreign educaed applican inquiries over he pas few monhs and is working closely wih numerous agencies o ensure ha only qualified applicans are approved for NCLEX esing or licensure by endorsemen. APRN Commiee Repor: The BON members of his sanding commiee are Jeanine Thomas, LPN, Kim Powell, APRN, Susan Raph, RN, Seven Rice, Public Member. During he firs quarer meeing he members voed o include an audi of 10% of APRN licensees for compliances wih CEU s as one of heir 2005 objecives. During he second quarer board members and saff began review of he APRN Rules. Iems o clarify in rule include he applicaion process, pharmacology CEUs, peer review, and APRN Scope of Pracice. Educaion Commiee Repor: The BON members of his sanding commiee are Karen Pollingon, RN, Lorena Erickson, Public Member, Kahy Hayden, LPN, and Susan Raph, RN. During he firs quarer meeing he members Screening Panel Repor: The BON members of his sanding commiee are Jeanine Thomas, LPN- Chairperson; Kim Powell, RN, MSNP; Seve Rice, Public Member; and Cynhia Pike, RN. During he firs quarer meeing he members voed o coninue working on he 2004 objecives in They review all complains and make recommendaions o he full board. Rule Review January 2005 The Rule regarding Delegaion was heard, noiced, and amended for adopion The Rule regarding Conduc for Nurses has been noiced for hearing (1)(c) Rules , and were adoped New Rule 4 (Medicaion Aide): Noice for hearing for a proposed amendmen o replace paragraph 4 wih, Successful compleion of a Board approved examinaion is required Rule Review April 2005 Clarificaion: Rule (6) and (4), erm FTE refers o posiion, no number of people Adopion of MAR as amended, incorporaed changes as requesed by Board of Regens and changes in (1)(h)(ii)(iii) o reflec clinical agencies raher han medical seings Noice for Hearing Model Fee Abaemen Rule noice regarding foreign educaed applicans: Include definiion of foreign educaed Adop MAR Delegaion Rules as amended Rule : Remove 3 year language

5 Sandra Dickenson Joins he BON saff Sandra M. Dickenson, Sandi, acceped a emporary one year posiion as Execuive Direcor for he Monana Board of Nursing on January 18, Sandi obained her BA in Nursing from Carroll College in 1987 and her MS as a CNS in Maernal-Child Nursing from VCU Medical College of Virginia in 1997 wih a secondary area in Educaion. She joined he USAF in 1987 and has acceped assignmens ranging from Med-Surg, LDRP and PEDS o Case Manager, Fligh Nurse, hospice, and firs surgical assisan. Her mos recen posiions were as a Nurse Manager of he MACDILL Women s Healh Clinic in Florida and as a Uni Supervisor of he KADENA Family Pracice Clinics serving 14,000+ miliary paiens in Japan. She was employed as adjunc faculy in Virginia for he ADN (LPN o RN) program and currenly holds ANCC cerificaion as an Informaics Nurse. The BON welcomes her applicaion of educaion and experience o Monana s nursing regulaion and governance. Message from Execuive Direcor Sandi Dickenson Reflecing over he pas five monhs, I ponder where o begin. Exciemen swep over me ha firs day as I enered he room where he BON was convening on January 18h. My commimen o serving such a varied audience came wih lile working knowledge of he deails. Wihin eigh days I was on a plane o he annual Federal Associaion of Regulaory Boards (FARB) joined by Board member Kahy Hayden. The nex morning Kahy lierally bumped ino one of he gues speakers as she crossed he sree! Her jovial personaliy earned us he pleasure of prime seas (nex o him) and a personal uorial of he presened maerial much appreciaed as he moderaor sared us off wih a es! I reurned o direc my firs nursing program sie visi he following week. Every nursing program in Monana ha leads o iniial nursing licensure mus obain BON approval. The iniial sie visi process involved he BON hiring an Educaional Consulan o visi he campus wih he ED and evaluae (survey) he proposed program. Approved nursing programs coninue o have surveys, known as sie visis, on a regular basis by he BON. I spen he following hree weeks seing up my work area, responding o pracice quesions and oriening as a sae employee. In March I was again on a plane, his ime headed for he Mid-Annual meeing of he Naional Council of Sae Boards of Nursing (NCSBN). We had a errific session ha firs day as he EDs were grouped wih heir BON Presidens in a variey of learning aciviies designed o help us undersand our role in governance. NCSBN provided an invaluable seing where Presiden Karen Pollingon, Member Cynhia Pike and I could nework wih oher sae BONs for informaion on a wide variey of nursing concerns. We soon learned ha MT is no alone in addressing issues such as expanding pracice, deermining compeency, how he mobiliy of nursing pracice across sae lines impacs regulaion and he recogniion of APRN program graduaes. I reurned o cach up on my office work, mee wih subcommiee ask forces and prepare for he April BON meeing. In my spare ED ime I handled he Pracice Manager duies due o an ongoing posiion vacancy. May Day quickly arrived and I headed o Malmsrom AFB in Grea Falls where I served 15 days of acive duy as a Reservis in he USAF. The value of keeping one hand in clinical nursing ruly assiss my undersanding of Nursing Pracice: how regulaion affecs pracice, how pracice rends effec BON Rule changes and how Rule changes affecs pracice. Having seled in a bi over he pas six weeks, I am awed by he dedicaed specialy nurses who voluneer heir knowledge and experise o ensure ha Monana Nursing Pracice remains he VERY BEST. I have me legislaors, adminisraors, educaors, clinicians, members of various healh care boards, healh professionals and deparmen saff who serve selflessly on ask forces and commiees. Many ravel repeaedly over long disances and spend counless hours in meeings in order o assis he BON in our goal of safe nursing pracice. My hanks o every one of you! I am looking forward o he coming year and will earnesly work owards my vision of achieving your rus and confidence.

6 Prescripive Auhoriy Pracice Agreemens by Becky Deschamps and Kim Powell, RN In 2001, he Monana Legislaure passed HB279. HB279 esablished he concep of pharmaceuical care, auhorized elecronic ransmission of prescripion informaion, enabled board regisraion and discipline of pharmacy echnicians and auhorized collaboraive pracice, defining i as...he pracice of pharmacy by a pharmacis who has agreed o work in conjuncion wih one or more prescribers, on a volunary basis and under proocol, and who may perform cerain paien care funcions under cerain specified condiions or limiaions auhorized by he prescriber (MCA (4)). The bill also amended he definiion of he pracice of pharmacy o include adminisering drugs and devices pursuan o a collaboraive pracice agreemen... (MCA (26b)) and iniiaing or modifying drug herapy in accordance wih collaboraive pharmacy pracice agreemens esablished and approved by healh care faciliies or volunary agreemens wih prescribers (MCA (26e)). Pharmaciss herefore have dependen prescripive auhoriy, as opposed o independen prescripive auhoriy. Pharmaciss canno iniiae or modify drug herapy wihou having a valid collaboraive pracice proocol in place. The rulemaking, noicing and public commen process was hen begun. MCA , Collaboraive Pracice Agreemen Requiremens, can be found a hp://m.gov/dli/bsd/license/bsd_boards Signed copies of he agreemen mus be filed wih he Board of Pharmacy before collaboraive pracice is iniiaed, spelling ou he ypes of drug herapy managemen decisions ha he pharmacis is allowed o make, mehods of communicaing changes and adverse reacions o he praciioner, mehods by which he prescriber moniors clinical oucomes and inercedes if necessary, reenion of records and how he paien s wrien consen will be obained. Collaboraive pracice agreemens mus be reviewed, revised if necessary and renewed annually. MCA , Adminisraion of Vaccines by Pharmaciss, can also be found on he board s websie above. Pharmaciss can vaccinae only pursuan o a collaboraive pracice proocol, and may only vaccinae paiens 18 years of age or older. They mus have successfully compleed a raining course provided by he Ceners for Disease Conrol or oher approved provider, mus hold a curren basic CPR cerificae, follow esablished procedures and mainain a curren copy of CDC s Epidemiology and Prevenion of Vaccine- Prevenable Diseases. The Board of Pharmacy presenly has less han 20 collaboraive pracice proocols on file. Many of hese are vaccine proocols, and several anicoagulaion proocols are in place as well. Only one oupaien pain proocol is presenly acive in he sae, and a las coun 3 pharmaciss had applied for and received heir mid-level DEA license. The DEA will only gran mid-level licenses o pharmaciss acively involved in collaboraive pracice ha will be called upon o wrie prescripions for conrolled subsances. The Board of Pharmacy feels ha collaboraive pracice is a poenially useful ool ha can be of use in he provision of healh care o he ciizens of our rural sae.

7 How License Probaion affecs your Nursing Pracice by Lori Ballinger Boh on he naional and sae level, approximaely 1% of all regisered nurses and 1.5% of all licensed pracical nurses have been subjec o disciplinary acion by a licensing board. The violaions range from coninuing o pracice wih an expired license o paien abuse and drug diversion. Similarly, he board may impose sancions ranging from a privae leer of reprimand or censure o license revocaion. Mos ofen, if he board decides here is reasonable cause o proceed wih disciplinary acion, he board will place he nurse s license on probaion. The probaionary erms vary from case o case. Probaion is designed o monior nursing pracice and remedy any pracice issues he board has idenified. Generally, probaion will include quarerly repors from he nurse and his or her supervisor, yearly requiremens for coninuing educaion and a requiremen o review and follow all he saues and rules ha govern nursing. The goal of license probaion is o insure ha he nurse is able o coninue o pracice safely and appropriaely. For nurses who have had problems wih drugs or alcohol, he board has esablished he Nurses Assisance Program (NAP). Mos nurses enrolled in he NAP coninue o work in nursing. The NAP closely moniors each nurse o insure compliance wih he program requiremens. Nurses paricipaing in he NAP are acively working on recovery for subsance abuse. Wih paricipaion in he NAP, recovering nurses can coninue o conribue o he profession. Niney-five percen of he nurses on probaion coninue o be employed in nursing. The goal of he board is o proec he public by helping each nurse be he bes nurse hey can be. Where do I find Scope of Pracice? LPN, RN, and APRN Scope of Pracice is defined by Rule locaed on our websie a Go o Board Informaion: Selec a Topic Choose Board Rules and Rule Noices. Selec Specific Board Rules and Board of Nursing. You can hen search ha file for key erms of he issues in quesion. Direcor of Nursing Services Survey In a recen survey here was expressed concern ha an ou-of-sae college placed a suden in Monana wihou faculy. Ou-of-sae schools doing so (ASN, BSN, or compleion programs) mus mee he requiremens of BON Rules, including faculy qualificaions. Anoher concern was raised ha online schools are allowing nursing sudens o se up heir clinicals in Monana. When Monana sies are used for clinical raining, here are faculy, precepor, and impacon-clinical-sie issues ha mus be considered. DONs wih any concerns in hese areas are asked o bring hem o he aenion of he Board of Nursing. Please idenify your faciliy name, he school s name, he ype of suden (PN, RN, APRN), and he ype of program (ou-of-sae, online). You may he informaion o dlibsdnur@m.gov or mail i o he Board of Nursing. -*$&/4& Where are Rule Noices? Keep up o dae on curren rule revisions a hp://m.gov/dli/bsd/license/bsd_boards/nur_board/rule_noice.asp Coming in Augus: Online Tuorial for Delegaion of Nursing Tasks

8 Gues Ediorial by John Rosenbaum R.T. Board of Radiologic Technologiss During April s BON meeing, Anne Delaney and I represened he Board of Radiologic Technologiss (BORT). We found consensus ha responsibiliy for using ionizing radiaion applies o healh care personnel a every level. As is rue for all boards, BORT s primary charge is proecion of he public. Boh boards agree ha inappropriae applicaion of ionizing radiaion, especially he use of he new C-Arms, has led o grave concerns over public safey and ha nurses play a key role in ensuring public safey during hese procedures. Ionizing radiaion usage is increasing in frequency and level according o respeced sources. BORT s license inspecor, Dan Owen, revealed a number of siuaions which have been addressed bu we coninue o receive phone calls quesioning he appropriae use of ionizing radiaion, boh hypoheical and real. Some of hese involve nursing saff being required o operae C-Arms wihou knowledge of or raining in radiaion safey or X-Ray producion. Nurses are seing up he C-Arm, urning on he uni, maneuvering and posiioning he uni and he paien and seing exposure facors. NPs are compleing bone densiy exams relying solely on vendor informaion and applicaions. Limied Permi Technologiss are direced o operae everyhing from fluoroscopy unis and C- Arms, o CT Scanners and old i s OK as long as he PA, NP, or a physician is presen and orders hem o do so. For clarificaion, nurses canno do so unless licensed o pracice under BORT; a limied permi holder can only expose afer films following a fluoroscopy exam. The radiologis mus se all exposure parameers and conrol all oher radiaion producion facors of fluoroscopy. Misinformed individuals repeaedly relae ha he new C-Arms don use radiaion any more or he amoun is so minue, here is no concern o anyone. I is imporan for nurses o undersand ha he dangers of radiaion are real and coninue o exis in Radiaion warnings, paricularly fluoroscopic applied radiaion warnings, are issued by he FDA and oher agencies bu apparenly are no reaching all providers in Monana. The Board of Medical Examiners (BOME), BORT and he BON have joinly reached a consensus ha nurses and providers a every level mus undersand heir responsibiliy in proecing he public from he dangers of radiaion. Our join goal is o ensure ha every ask associaed wih he use of ionizing radiaion is appropriae and wihin ha individual s scope of pracice, i canno be delegaed. Nurses have a muli-faceed scope of pracice bu i does no include applicaion of radiaion wihou addiional specialized educaion and licensure. I is ruly an injusice for nurses o be pu ino a posiion ha hey are no prepared for and is poenially dangerous for hem and heir paiens. BORT hanks you for he opporuniy o collaborae wih BON licensees and cooperae o creae a safer healhcare environmen in Monana. Dep Updae: Federal legislaion HR 1426 has been inroduced by Rep. Chip Pickering (R-MS) under he ile: Consumer Assurance of Radiologic Excellence (CARE). The CARE bill is biparisan legislaion, wih 10 Republican and 10 Democra original cosponsors. The bill would amend he Consumer-Paien Radiaion Healh and Safey Ac, a 1981 law ha esablished minimum sandards for he educaion and credenialing of radiologic echnologiss. Because compliance wih he 1981 Ac is volunary, only 41 saes fully or parially license, regulae or regiser radiographers, only 30 saes license radiaion herapiss, and only 25 saes license nuclear medicine echnologiss. In saes where no licensure exiss, individuals are permied o perform radiologic procedures wihou any formal educaion. (From he websie)

9 r Sipulaions and Final Orders (10/04 5/05) Name License # Ciy Acion Alan Baum LPN Hamilon MT Public Reprimand Jennifer Beason LPN Billings MT Probaion 3 yrs wih CE Michelle Clark RN Glendale AZ Probaion 1 yr Cynhia Cooper RN Missoula MT Reinsaed NAP 3 yrs Jane Fiel RN Thompson Falls MT Summary Suspension Richard Kuchyn RN Bue MT Reinsaed NAP 3 yrs Donna LaMere RN Billings MT Reinsaed NAP 3 yrs Joni Landes RN Florence MT Reinsaed NAP 3 yrs Karen Lofus RN Missoula MT Reinsaed NAP 3 yrs Bre McMurphey LPN 7952 Grea Falls MT Volunary Surrendered Nichole Nichols RN Kennewick WA Summary Suspension Helen Olsen RN Eureka MT Summary Suspension Renee Pomeroy RN Helena MT Reinsaed NAP 3 yrs Melinda Rang LPN 8031 Arlee MT Reinsaed NAP 3 yrs Caren Reaves RN Missoula MT Fine Jennifer Schulze RN Sunburs MT Probaion NAP 3 yrs Delcia Diane Thomas RN Soddy Daisy TN Probaion NAP 3 yrs Paul Wann RN Bue MT Probaion NAP 1 yr Pai Whie-Emineh RN Rapid Ciy SD Public Reprimand CORRECTION: The Fall 2004 Newsleer inadverenly saed he license of Jonna Rhein was suspended. The correc informaion is: Jonna Rhein LPN 2606 Missoula, MT Probaion NAP 3 yrs *Names and license numbers are published as a means of proecing he public safey, healh, and welfare. Only Final Orders, which are public informaion, are published in his newsleer. Pending acion agains any licensee is no published. Please advise he Board office if any of he above nurses is working ouside his/her licensure capaciy. **Those licensees wih Nurses Assisance Program (NAP) lised have been placed on NAP hrough he formal Board process. Licensee names and informaion on he Volunary Track of NAP are confidenial, and his informaion is no available o he public. Congraulaions! The Board would like o recognize ha Jane Haughian, RN was seleced as a Voluneer r of he Year by he Miles Ciy Area Chamber of Commerce. Jane became Chairwoman of he Board of Direcors, Cuser Couny Communiy Healh Care Cener (CCCHC). Afer wading hrough mounains of daa and federal paperwork, a gran reques painsakingly maerialized and CCCHC doors were opened o he underserved public in Dec Jane was seleced and presened he award in January Wihou her passionae work in he communiy, bringing healh care o hose falling hrough he cracks of our healh care delivery sysem would never have been possible. Thanks, Jane for your commimen o Nursing, he Ar and Science of Caring. r

10 Online Query for Licensing Verifying a licensee s saus and credenials is available online. While you may obain his informaion by calling he Board office, he online funcion may be quicker, and i is accessible 24 hours a day, 7 days a week. The sie is hp://app.m.gov/lookup BON Pracice Manager Posiion Filled The BON welcomes our new Pracice Manager, Melissa Mixan, R.N., Melissa received her BSN from he Universiy of Nebraska in 1995 and has chosen o make Jefferson Ciy, MT her new home. We are very happy o have her join our deparmen saff as a permanen full ime employee. BON Seeks New Board Members Are you ineresed in serving on he BON or would you like o recommend someone? The BON looks forward o Governor Schweizer s upcoming appoinmen o fill he BON Member LPN and APRN vacancies. We invie you o submi your name for consideraion using he online form a: hps://app.m.gov.com/appoin/. You can aach your resume and oher informaion o his online applicaion form. You may also apply or recommend someone by sending a leer and/or resume o: Governor Brian Schweizer An: Pai Keebler Sae Capiol Helena, MT Phone (406) Fax (406) NEW Websie Saisfacion Survey Check ou our websie a Any commens regarding he use of he websie would be grealy appreciaed. Reques for Readers! Pearson Vue is he es vendor for he NCLEX. If you are ineresed in assising a graduae nurse in need of special esing accommodaions please conac Sandra Dickenson, ED or he dep saff if you mee he following crieria. CRITERIA FOR SELECTION OF READERS: No undergraduae nursing educaion program faculy No an insrucor in any courses, workshops or uoring aciviies ha involve drilling or coaching on es quesions similar in conen o hose on he NCLEX examinaion now or wihin he nex six monhs. No a suden in a nursing educaion program preparing for enry level licensure No a family member or well known o he suden Reads carefully and disincly. Pronounces medical/nursing erms correcly. SUGGESTED SOURCES FOR READERS: reired faculy board members & saff of graduae programs (faculy or sudens) local college uoring programs professional nursing organizaions Did you know ha Board Saff are sae employees ha work in suppor of he BON and heir mission of ensuring public safey?

11 Board Says Hello & Good-bye The legislaure confirmed former Governor Marz s appoinmen of our four new board members during his year s session. Susan Raph, RN fills he educaor posiion and is Chair of he Educaion Commiee. Kahy Hayden is a member of ha commiee and fills one of he LPN posiions. Cynhia Pike fills one of he RN posiions and is a member of he Pracice Commiee. Robera Three, LPN resigned her posiion effecive in April and we are awaiing a new appoinee o he vacancy by Governor Schweizer. Kim Powell, RN, MSN, NP was appoined as a Board Member in 1997 by Governor Marc Racico and reappoined in 2001 by Governor Marz. She has been a member of he Screening Commiee since In 1998 Kim served a wo year erm as Board Chair (presiden) and again in Tha same year she began o chair he APRN Commiee and will coninue unil a replacemen is named (her erm expired on 1 July 2005). She has served diligenly on many commiees, mos recenly as chair of he Delegaion Task Force from 2003 o 2005 and as an APRN Commiee Member for Naional Council Sae Board of Nursing (NCSBN) from 2002 o Message from deparing BON Member Kim Powell, RN, MSN, NP The experience of being a member of he Board of Nursing has ruly been one of he highlighs of my career. Having he chance o work in nursing regulaion has afforded me he opporuniy o work wih many nurses in a variey of seings, and o learn from each of hem. I sincerely encourage nurses o consider applying for a posiion on he Board of Nursing i s he chance of a lifeime. Message from new BON Member Kahy Hayden, LPN Greeings! I am a pracicing LPN in he NICU and Pediarics deparmen a Communiy Medical Cener and a cerified PALS insrucor along wih BLS. When I firs came o he board, I had no idea wha o expec and I really did no know everyhing ha he board did. I quickly learned ha members cover a broad range of hings, from Educaion o Scope & Pracice. I decided I would like o become involved wih he educaion porion, because I really waned he bes clinical insrucions for our sudens. My vision is o work oward he advancemen of LPN Scope of Pracice and bring our Rules covering his up o dae. These are HUGE goals o complee and will need your suppor and he help of everyone involved.

12 PRESORT FIRST CLASS U.S. POSTAGE PAID HELENA, MT PERMIT NO. 89 STATE BOARD OF NURSING MONTANA SOUTH PARK AVENUE 301 BOX PO MT HELENA, Has Your Address Changed? We have on file 123 reurned iems of correspondence! Please be sure your address and employer(s) address are curren in our daabase. The board depends on accurae and imely informaion from licensees o ensure ha imporan communicaions, including your license renewal forms, reach you. Address Change Full Legal Name License Number Address Sree Ciy Sae Zip Phone Home Work You may provide he above informaion by: FAX: dlibsdnur@m.gov Mail: PO BOX , Helena MT